Clinical and socioeconomic factors associated with delayed orchidopexy in cryptorchid boys in China: a retrospective study of 2423 cases.

Tian-xin Zhao; Bin Liu; Yue-xin Wei; Yi Wei; Xiang-liang Tang; Lian-ju Shen; Chun-lan Long; Tao Lin; Sheng-de WU; Guang-hui Wei

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Clinical and socioeconomic factors associated with delayed orchidopexy in cryptorchid boys in China: a retrospective study of 2423 cases.

Author: Tian-Xin ZHAO ¹ ; Bin LIU ² ; Yue-Xin WEI ¹ ; Yi WEI ¹ ; Xiang-Liang TANG ³ ; Lian-Ju SHEN ² ; Chun-Lan LONG ² ; Tao LIN ¹ ; Sheng-De WU ¹ ; Guang-Hui WEI ¹
Author Information

1. Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
2. Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing 400014, China.
3. Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 400014, China.
Publication Type:Research Support, Non-U.S. Gov't
Keywords: birth defect; children; congenital disorder; cryptorchidism; orchidopexy; poverty
MeSH: Age Factors; Child; Child, Preschool; China/epidemiology*; Cryptorchidism/surgery*; Hernia, Inguinal; Humans; Infant; Male; Orchiopexy/statistics & numerical data*; Poverty; Retrospective Studies; Socioeconomic Factors; Testicular Hydrocele; Time-to-Treatment
From: Asian Journal of Andrology 2019;21(3):304-308
CountryChina
Language:English
Abstract: We investigated the associations of clinical and socioeconomic factors with delayed orchidopexy for cryptorchidism in China. A retrospective study was conducted on cryptorchid boys who underwent orchidopexy at Children's Hospital at Chongqing Medical University in China from January 2012 to December 2017. Of 2423 patients, 410 (16.9%) received timely repair by 18 months of age, beyond which surgery was considered delayed. Univariate analysis suggested that the laterality of cryptorchidism (P = 0.001), comorbidities including inguinal hernia/scrotal hydrocele (P < 0.001) or urinary tract disease (P = 0.016), and whether patients lived in a poverty county (P < 0.001) could influence whether orchidopexy was timely or delayed. Logistic regression analysis suggested that the following factors were associated with delayed repair: unilateral rather than bilateral cryptorchidism (odds ratio [OR] = 1.752, P < 0.001), absence of inguinal hernia or hydrocele (OR = 2.027, P = 0.019), absence of urinary tract disease (OR = 3.712, P < 0.001), and living in a poverty county (OR = 2.005, P < 0.001). The duration of postoperative hospital stay and hospital costs increased with the patient's age at the time of surgery.